A prospective study on intramedullary nailing for both tibia and fibula in distal both bone leg fractures.

ABSTRACT: Intramedulary (IM) interlocking nailing is considered the method of treatment for most of long bone fractures esp. of lower limbs but for the fractures of lower 1/3rd fibula along with tibial fractures a lot many options are available with their pros and cons. Present study was conducted to measure the merits involved with the usage of rush nails for fixation of lower 1/3rd fibular fractures along with tibial fractures fixed with interlocking nailing. Materials and methods: In present study 25 patients were treated in our institution with above mentioned technique wef. November 2012 to May 2014.All the cases were treated in emergency with in 24hours. Toe touch weight bearing, partial weight bearing and other rehabilitative measures were proceeded as per patient’s pain profile and clinical and radiological union. Serial radiographs were taken at immediate post operative period and followed up further at 6, 12 and 24 weeks. Results: Out of 25 patients 18 were males and 7 were females with mean age of 36.2years( 18-68yrs). Radiological and clinical union proceeded normally in all of them, Dynamization procedure was done in 16 patients by 12 weeks. Conclusion: Usage of rush nails for fixation lower fibula fractures is having added advantage of small skin incision hence less chances of local infection, dynamization was more effectively achieved, less chances of rotational instability in presence of distal locking of tibia, and more important in present era is reduction of cost of surgery over all.